Ferraraccio, Blaise Edward

Ferraraccio, Blaise Edward is an individual health care provider with primary practice located at 4848 Ne Stallings Dr Ste 106 , Nacogdoches TX 75965-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ferraraccio, Blaise Edward can be contacted via phone (936) 559-9510.

Contact Information

Primary practice address
4848 Ne Stallings Dr Ste 106 Nacogdoches TX 75965-1256
Phone: (936) 559-9510
Fax: (936) 559-9598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X L8055 Texas

Profile Details

NPI number 1679539142
LBN Legal business name Ferraraccio, Blaise Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679539142 NPPES
Texas MEDICAID 162235901

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